| Renee M Madden, MD | |
|
262 Danny Thomas Pl, Memphis, TN 38105-3678 | |
| (901) 595-3300 | |
| (901) 595-3842 |
| Full Name | Renee M Madden |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Hematology-oncology |
| Location | 262 Danny Thomas Pl, Memphis, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902883754 | NPI | - | NPPES |
| 150215502 | Medicaid | TX | |
| 150215503 | Other | TX | CSN |
| Q020362 | Medicaid | TN | |
| 009934486 | Medicaid | AL | |
| 200071130A | Medicaid | OK | |
| 207368903 | Medicaid | MO | |
| 8CL613 | Other | TX | BCBS |
| 02750818 | Medicaid | MS | |
| 0717173 | Medicaid | IA | |
| 200378480A | Medicaid | KS | |
| 5440667 | Medicaid | TN | |
| 158594001 | Medicaid | AR | |
| 200803590A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 40553 (Tennessee) | Secondary |
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 37587 (Arizona) | Primary |
| Entity Name | St Jude Childrens Research Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306335088 PECOS PAC ID: 7315133444 Enrollment ID: O20180821000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Renee M Madden, MD 262 Danny Thomas Pl # Ms 515, Memphis, TN 38105-3678 Ph: (901) 595-3006 | Renee M Madden, MD 262 Danny Thomas Pl, Memphis, TN 38105-3678 Ph: (901) 595-3300 |
Dr. Andrew Buchman Nearn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2861 Broad Ave, Memphis, TN 38112 Phone: 901-701-2520 Fax: 901-325-6469 | |
Mimily Harsono, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-545-7100 | |
Mr. Alberto S. Pappo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-6765 Fax: 901-521-9005 | |
Edson Ruiz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-448-5950 | |
Dr. Darlene K Cash, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-322-9080 Fax: 901-322-2994 | |
Dr. Monika Metzger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl # Ms 515, C/o Dana Cannon, Memphis, TN 38105 Phone: 901-595-3006 Fax: 901-595-3842 | |
Benjamin R Waller Iii, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 51 N Dunlap St Fl 2, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-287-4646 |